Town of Shapleigh

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0633 Issued in ME

Legal business name

TOWN OF SHAPLEIGH

Doing business as

Shapleigh Rescue Squad

Practice address

506 Shapleigh Corner Rd
Shapleigh, ME 04076-0051

Phone

(207) 636-2211

NPI assigned

May 31, 2007

Last updated

May 18, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Deshaies

Title

Chief of Service

Phone

(207) 636-8836

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shapleigh Rescue Squad Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1184825440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040621810",
            "telephone_number": "207-892-0020",
            "fax_number": "207-893-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SHAPLEIGH CORNER RD",
            "city": "SHAPLEIGH",
            "state": "ME",
            "postal_code": "040760051",
            "telephone_number": "207-636-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SHAPLEIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "DESHAIES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OF SERVICE",
        "authorized_official_telephone_number": "207-636-8836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ME",
            "license": "000015",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ME",
            "license": "0633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111470000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shapleigh Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Ann Brown
• Iva Hood

• Ambulance in Shapleigh, ME
• Providers in Shapleigh, ME by specialty
• Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.